:: Do You Have Any Questions?
If you have any questions about how our service works or what our caregivers can do for you.    Just give us a call.

We will be happy to discuss your individual needs-- even if you're not yet ready to begin services.  

For More Information Or To Schedule Your Caregiver:

      (760) 328-8881

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOME CARE CHECKLIST 

If you've never made arrangements for professional homecare services before, You may not be sure how to go about it or even  where to start.

There's no better place to start than at the beginning--- And That Is Simply Knowing What Kind Of Help You Need.  Use this easy online checklist to define the services that are right for you.  You can complete it online or print it out for your review.  (Please select all that apply)            In a hurry? Use our QUICK Question Form

Homecare is needed for

Myself  Spouse  Parents   Other

TYPE OF CAREGIVER NEEDED

Companion    Caregiver

  Part-Time Full Time  Live-In    Round-The-Clock Care

Days Your Caregiver Is Needed
  7 Days A Week  
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Nutritional Needs

Meal Preparation
Special Diets
Low Sodium
Diabetic
Low Carb

HOUSEKEEPING SERVICES

Light Housekeeping   Detailed Full-Service

Laundry  Linen Changes  Ironing

Vacuum   Dust

Bathing / Dressing / Personal Care

Please indicate the level of assistance needed

 
Light
Medium
Heavy
Not Needed
Bathing

Personal Care

Dressing

Grooming

Other Duties  

Medication Reminders     Other Duties Needed 

TRANSFERRING In/Out of Bed & Chair - How much help is needed?
Just stand close and steady when needed
Need Just A Little Help
A Fair Amount Is Needed - No Heavy Lifting
Substantial Aid Is Needed When Transferring
Dead Weight Lifting Is Required ( Heavy Lifting)
Approximate Weight Of Patient.  lbs. 

What Is The Diagnosis Or General Condition Of Person Needing Care?

 Driving to appointments, errands, & marketing            

 Caregiver will use:   My Car        Their Own Car*

                          * (If a caregiver is to use their own car, Client agrees to Reimburse caregiver @ .50/Mile)

Mobility

The person being cared for:

Can Walk With No Help

Uses A Walker  Wheelchair  Cane Only  Immobile

Pet Care / Small Pets

Do You Have Any Pets?             

  Cat     Dog   Bird

Can you tell us a little about your pet, such as how many, and what type or breed etc?

           Name :  
Email Address :   
           Phone :  

 

Additional Comments :

Thank You For Your Interest In Our Service.  

Press To Complete

  Thank You